| Date of birth: | Jun 13, 1961 |
| Hold: | no |
| Arresting agency: | POLK COUNTY SHERIFF |
| Booking number: | 2004-027793 |
| Booking date: | Dec 8, 2004 |
| Release date: | Dec 10, 2004 |
| Booking location: | Polk County, FL |
| Statute: | 784.045(1A1) AGGRAV BATTERY-CAUSE BODILY HARM OR DISABILITY |
| Charge on arrest docket: | AGG BATTERY/DV |
| Charge number: | 1 |
| Bond type: | SBN |
| Bond number: | R251225446 |
| Bond exp: | SBN R2512254467 FOR $15,000.00 |
| Bond amount: | $15,000 |
